Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DIANE JARRELS SULLIVAN, PTA
Active Sole ProprietorMRS. DIANE JARRELS SULLIVAN, PTA is a Technician, Health Information healthcare provider located in KILMARNOCK,, Virginia. NPI 1225224983 is currently active in the NPPES registry. Verify at CMS.
Technician, Health Information · KILMARNOCK,, VA
Registration Details
- NPI Number
- 1225224983
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2007 (18.943747832828 yrs)
- Last Updated
- Nov 19, 2007
- License
-
2306000138 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 IRVINGTON ROADKILMARNOCK,, VA, 22482Browse VA providers · Browse ZIP 22482
- Phone
- 8044353435
- Fax
- 8044353682
- Primary Specialty
-
Technician, Health Information
247200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.